ENA Triage ESI 2.0 UPDATED ACTUAL Questions and CORRECT Answers
1. 2 An 82-year-old patient from a nearby senior living facility presents with vomiting
and diarrhea. Vital signs are BP 92/60 mm Hg, HR 60 beats/minute, RR 28
breaths/minute, T 35.8°C (96.6°F), and SpO2 94% without supplemental oxygen.
2. 5 A 32-year-old presents with tooth pain. The patient states it hurts to chew and
cannot see a dentist for another week. Vitals are BP 138/82 mm Hg, HR 78
beats/minute, RR 16 breaths/minute, T 36.2°C (97.2°F), and SpO2 96% without
supplemental oxygen.
3. 2 A 28-year-old patient presents with vaginal bleeding that started two hours ago.
She states she had a positive home pregnancy test a week ago. She has not had
a confirmed IUP on ultrasound yet. Her vitals are BP 106/62 mm Hg, HR 126
beats/minute, RR 16 breaths/minute, T 36.6°C (97.8°F), and SpO2 99% without
supplemental oxygen.
4. 5 A 42-year-old assigned at birth male patient is brought in by ambulance after a
seizure witnessed by their spouse. The patient arrived alert and oriented to their
baseline. There was no trauma involved during the seizure. The patient stated that
they have not refilled their anti-seizure medication and the last time they took it
was a few days ago. Vitals are BP 140/76 mm Hg, HR 90 beats/minute, RR 20
breaths/minute, T 36.9°C (98.5°F), and SpO2 96% without supplemental oxygen.
5. 1 A caregiver was carrying their 5-month-old when they tripped and fell down a
6-step stair. They stated that the baby was crying and then stopped. The baby
appears limp in their arms, vitals are BP 89/58 mm Hg, HR 90 beats/minute, RR 16
breaths/minute, T 36.5°C (97.7°F), and SpO2 91% without supplemental oxygen.
6. 3 A 35-year-old presents with dizziness and vomiting. They state that it started after
getting out of bed in the morning and happens with every position change. Vital
signs are BP 152/82 mm Hg, HR 104 beats/minute, RR 16 breaths/minute, T
36.1°C (98.1°F), and SpO2 98% without supplemental oxygen.
7. 2
1. 2 An 82-year-old patient from a nearby senior living facility presents with vomiting
and diarrhea. Vital signs are BP 92/60 mm Hg, HR 60 beats/minute, RR 28
breaths/minute, T 35.8°C (96.6°F), and SpO2 94% without supplemental oxygen.
2. 5 A 32-year-old presents with tooth pain. The patient states it hurts to chew and
cannot see a dentist for another week. Vitals are BP 138/82 mm Hg, HR 78
beats/minute, RR 16 breaths/minute, T 36.2°C (97.2°F), and SpO2 96% without
supplemental oxygen.
3. 2 A 28-year-old patient presents with vaginal bleeding that started two hours ago.
She states she had a positive home pregnancy test a week ago. She has not had
a confirmed IUP on ultrasound yet. Her vitals are BP 106/62 mm Hg, HR 126
beats/minute, RR 16 breaths/minute, T 36.6°C (97.8°F), and SpO2 99% without
supplemental oxygen.
4. 5 A 42-year-old assigned at birth male patient is brought in by ambulance after a
seizure witnessed by their spouse. The patient arrived alert and oriented to their
baseline. There was no trauma involved during the seizure. The patient stated that
they have not refilled their anti-seizure medication and the last time they took it
was a few days ago. Vitals are BP 140/76 mm Hg, HR 90 beats/minute, RR 20
breaths/minute, T 36.9°C (98.5°F), and SpO2 96% without supplemental oxygen.
5. 1 A caregiver was carrying their 5-month-old when they tripped and fell down a
6-step stair. They stated that the baby was crying and then stopped. The baby
appears limp in their arms, vitals are BP 89/58 mm Hg, HR 90 beats/minute, RR 16
breaths/minute, T 36.5°C (97.7°F), and SpO2 91% without supplemental oxygen.
6. 3 A 35-year-old presents with dizziness and vomiting. They state that it started after
getting out of bed in the morning and happens with every position change. Vital
signs are BP 152/82 mm Hg, HR 104 beats/minute, RR 16 breaths/minute, T
36.1°C (98.1°F), and SpO2 98% without supplemental oxygen.
7. 2
